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Bond - TTS - 2011-04-27 (2) PAYMENT BOND
PAGE 1
Bond No. 0557578
COSTA MESA SANITARY DISTRICT
PAYMENT BOND
(LABOR AND MATERIAL BOND)
KNOW ALL MEN BY THESE PRESENTS-
THAT WHEREAS the COSTA MESA SANITARY DISTRICT a municipal corporation and
sanitary distnct, by minute order of the Board of Directors,adopted on , has
awarded to
CONTRACTOR
(NAM;AND 'UDRL`SS Uh CON ENACTOR)
hereinafter designated as the 'Principal" Contract No.CON-PROJECT 189 for the work described
as follows. Rehabilitation of Six Sewers Transferred to CMSD. Said Contract and all of its
obligations, covenants,terms and conditions are fully incorporated herein by reference
WHEREAS,said Principal is required by the provisions of said Contract and of the Civil Code
to furnish a bond in connection with said Contract, as hereinafter set forth
NOW THEREFORE,WE,the undersigned CONTRACTOR, as Principal and
International Fidelity Insurance Company 233 Wilshire BNd. Santa Monica,CA 90401
(Name and Address of Surety/
Duly authorizeu to transact business under the laws of the State of California, as Surety,are held
and firmly bound unto the Costa Mesa Sanitary District,in the penal sum of: _Dollars
(S 267,940.00 ),said sum being not less than one hundred(100%)percent of the estimated amount
uayeble under the leans at the Contract for which payment well and truly be made, we bind
ourselves, our heirs, executors and administrators successors and assigns,jointly and severally,
firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that, if said Principal of his
subcontractors,or the heirs,executors,administrators, successors or assigns thereof, shall tad to
pay any of the persons named in Section 3181 of the Civil Code of the State of California for any
materials, provisions, provender or other supplies used In, won,for or about the performance of the
work contracted to be done,or for any work or labor performed by any such claimant or any amounts
required to be deducted, witnheld, and paid over to the Franchise Tax Board from the wages of
employees of ore CONTRACTOR and his subcontractors pursuant to Section 18806 of the Revenue
and Taxation Code,with respect to such work and labor then said Surety will pay or the same,in an
amount not exceeding the sum set forth hereinabove, and in addition. in case suit is brought upon
the bond, will pay a reasonable attorney's fee to be fixed by the court This bond shall inure to the
benefit of any and all persons named in the aforesaid Civil Code Section 3181 so as to give a right of
action to them or(heir assigns in any suit brought upon the bond
'Two Hundred Sixty Seven Thousand Nine Hundred Forty&00/100
PAYMENT BOND
PAGE 2
Bond No. 0557578
Further the said Surety for value received, hereby stipulates and agrees that no change,
extension of time, alteration or modification of the Contract Documents or of the work to be
performed thereunder„hall in any way affect its obligatinn on this bond;and it hereby waives notice
of any and all such changes, extensions of time, and alterations or modifications of Inc Contract
Documents and/or of the work to be performed thereunder.
IN WITNESS WHEREOF we have hereunto set our hands anti seals this 27th
day of April __ _ 2011
US Engineering,Inc.
Contractor Name
4952 Warner Ave.#210
Street Address
Huntington Beach, CA 92649
City State,Zip Code
PRINCIPAL
By
Compa�"-presentative
In accordance with the Contract to Rehabilitation of Six Sewers Transferred to CMS° all
oords shall be issued ey an admitted surety insurer and the DISTRICT reserves the right to object to
any such surety in accordance with Coos of Civil Proccdure Section 90b.660
By signing below Surety certifiae that th. bonus a-o issued oy an admitted surety
International Fidelity Insurance Company
Name
233 Wilshire Blvd.
Street Address
Santa Monica,CA 92649
City,State,Zip Code
SURETY
Company Representative Frank Morones,Attorney-in-Fact
APPROVED AS TO FORM.
rosin R Bums, Associate District Counsel
Costa Mesa Sanitary t
r/ /
By/s/ /
re!(921)624.2200 POWER OF ATTORNEY
INTERNATIONAL FIDELITY INSURANCE COMPANY
HOME.OFFICE ONE NEWARK C ENTER 20TH FLOOR
NEWARK.NEW I£RSEN 077102-5201
KNOW ILL MEN BY THESE PRESP NTS: That INTERN I[ION IL PU)ELIIY INSUR INCE COMPANI a rpotacwi ,rgam•ed and wing
laws of the Sute ct Ne Inset nil h ,g m pt rpat Ali in the Cm, ,f Ne ark New lases does hereby nnsttmte and appoint
FRANK MORONES
Anaheim Hills, CA
its out. net Inc lul alit mcyls ct to se.na. at nd deli to ad heMll a sty aril all bonds net untie ski of ode I!] nil
othe writings obhgatup in am the ,f.whnh a ay be altvaed, equtrcd permitted ht la salute rule. gular„ c 'Mutate and
the eaccutinn d uh Instnmentrst m pm win_ of the plesenic shall be a binding upon the ad INIE reRNAT1ONAL mourn' INSURANCE
COMP.IN1 toll ad amply it all ntenu and purpows a if the stn had ht dub see red ad .In aledgad t) it regularly elected ,(Tuts
pr 11141 ern
ITC Poise, of Attorney s executed I d ma' he to eked pursuant to a .1 ht uhoru; d At tole a Sects t d the B) at adoptea b' the t3oa,d if
Di 4 INTERNATIONAL FIDI CITY INSURANCE(OMPANI ng -died ad held Ili "h d of Februa 19'4
Tht Pr 'de ant \t..e Pr ids)t.kit :uu I ice President eta, As:. nt Se shall hay pc• and °thorny
It To appoint Attu cys •ta ad to utht tze them to Aautt behalf of th, 'many and attach the Seal ill the Compa ty thereto bonds and
undenaki contacts of ndemt ip ad ate writings obligatory in the nature thereof a ad.
12 T emo at time ,) ch some -fa ,d dt.the uhf at NI
Fortin- this Pow 01 \Ito n t n t (I lid sealed hi (Bound, pui'•wn m olu .I the BI ad d Direct'.s d said 0impa r) adopted meet nit
.tut ailed fd held n th 29th sit �f 1pul. 19$'of vh ch the lulls true mpt.
No air rfo s h ,:ram es if ch off! Is ad the seal DI tit C npany ma• he alit ed c ch p.•wet of anoint. or n) end, ate relating the eat by
facsimile rl my such pow lit f ney ertiftcate beanng such fa mil.% atur fa thole seal shall he valid net bmdt t upo the Company d ny
ch p• so secured and t. rotted Ns fa mitt stgr res and fa simile at dull he did and hudm%upon the Compa the Tutu ith respeet to an
bold or di eking which anuchcl
`Ott"Ypp*F.�p I e d nti its TESTIMONY.rporatt cal m be INTERNATIONAL N l y as uth FTD dL&Ker.o16 h das of O mhei A t) 200d the •n+wmtr n he
O@PAL' s1 INI ERNATION IL NOEL III'INSURANCE(OSIPANI
os V SEAL m
STATE.OF NEW JERSEY
D•••• y I9�4i{?�. Q ( ty sfEsse%
'1H/ sE 5 l Sccrcut
On rht 16th da of October 2007 befo ne cant the mdl dual ht xewted the p ecedi as msnumenl.it the personal) known, and being by me'kilt
o tad h he he there. de shed rid a h ed uffrc if he INTERNATIONAL FIDELITY INSURANCE COMPAN',that the seal affi d to
W Irotrum it is he Ca rporate Seal N ad C timpani, that the id C tpt Att. Seal ad ha igrwcu dill) tiff ed to orde of the Board A Duceto of
said •'mpam
P`I{y VAZ- IN TbSIIMON1 WHEREOF I It ye her nu set n) hand Ali d my Off, d Seal
•W
at the C d ,L.f. Erse, the )and sea Po.a Mot mitten.
G cIOTARi Fe-I
°y p1/BLS qv
OF NON A NOIARI PUBLIC Of NF'5 lIilt 11
(EK mu A'f1PN M4 C FP, Sla I, '' '014
1 the net, cud Iff ol INTERN-1[TONAL FIDELIT' INSURANCE(OMP%N1 h lurch sentry ,hat 1 has nmpard the Ig t°• t th
Power of Ate' es ad alf ia•a id the at, oi the Seen Ihr B -I. N'said(omper set lush Id Po. If Awn new M th ORtt'N SIS Ot
I' fHE IIOME 019-1(.1.OF SAID(OMP SN Y ,d ha the tame are Hans Ipb the, at,and it di Alt de of the said tgm.P and the aid Pu
.( none, has been oked d full force and Wee
INTESTIMONi WHEREOF Iha h., set MN h.nd th, 27th day April, 2011
At. sic it Sc tetaq /��
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Orange
On 4/27/2011 before me, L Clark, Notary Public
DATE NAME,TITLE OF OFFICER E G. 'JANE DOE.NOTARY PUBLIC'
personally appeared Frank Morones , who
proved to me on the basis of satisfactory evidence to be the person(s) whose names (s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/he./their authorized capacity(ies), and that by his/hec/theic signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
L.CLARK
! r1-ax C tart'Potpn N 1825171 WITNESS my hand and official seal.
i'�`..hn� Notary PubBe California z
`,N'h� Los Expires County ��
My Comm Expires Nov 28,2012 r
SIGNATURE OF NOTARY
OPTIONAL
Though the data below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
INDIVIDUAL
❑CORPORATE OFFICER
TITLE OR TYPE OF DOCUMENT
TITLE(S)
❑ PARTNER(S) I I LIMITED
❑ GENERAL
NUMBER OF PAGES
®
ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S)OR ENTITY(IES)
SIGNER(S)OTHER THAN NAMED ABOVE
Company Profile http://interactive.web.insurance.ca.gov/companyprofile/compan.
CALIFORNIA
DEPARTMENT OF INSURANCE
COMPANY PROFILE
Company Profile
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Results INTERNATIONAL FIDELITY INSURANCE COMPANY
Company ONE NEWARK CENTER 20TH FL
Information NEWARK, NI 07102-5207
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Names
Old Company Names Effective Date
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Reference
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NAIC Group List
Lines of Business Agent For Service
Financial Statements DOROTHY O'CONNOR-MANSON
PDF's 1575 TREAT BLVD.
Annual Statements WALNUT CREEK CA 94598
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Statements
CA Supplements
Company Complaint Reference Information
Company . .. ._.._. . , . __._.__. ..... _ ..__...._.-.. ._..._.
Performance & 1 NAIC #• 11111592
Comparison Data .-
Company 'California Company ID #• 14341-4
Enforcement Action
Composite Date Authorized in California: '102/09/1996
Complaints Studies '
License Status: 1 UNLIMITED-NORMAL
Additional Info - -- - - - •
Find A Company ,I Company Type: 'Property & Casualty
Representative In
Your Area I State of Domicile: (NEW JERSEY
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NAIC Group List
NAIC Group #• 4705 AIA Holdings Inc Grp
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Lines Of Business
The company is authorized to transact business within these lines of insurance.
For an explanation of any of these terms, please refer to the glossary.
I of 5/11/11 4:16 PM
Company Profile http://inleractive.weh.insurance.ca.gov/companyprofile/compan.
SURETY
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